Alternatively, you can fill in your details below and we will send you a completed application form. All you then need to do is sign it, complete the direct debit section and return it to us in the pre-paid envelope provided.

As soon as we receive your signed application form, you are a URTU member.

Title:

Initial(s):

Surname:

Address:

Postcode:

Date of Birth:

Home Telephone Number:

Mobile Telephone Number:

Email:

Occupation:

Branch Reference (if known):

Name & Address of Employer:

Depot:

Monthly Contribution Scale

Scale A+BF (Driver)Scale A (Non-driver)Part-time

Notes on Contribution Scales
Driver A+BF means your membership includes participation in the
URTU’s Benevolent Fund, designed specifically for drivers. Part-time
staff are those working less than 20 hours per week.

Are you at present, or recently been, a member of any trade union? YesNo

If yes..

Name of Union:

Membership Number:

Did an existing URTU member recruit you to become a member?
If so, please fill in the information below: